Individual provider Active NPI

Kristen Ryder, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1013435494
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
117355 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1687
Phone
(315) 470-8705
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 117355 NY Primary

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1687

Mailing address

158 Pine Tree Dr
North Syracuse, NY 13212-2769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000747 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547526444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Gastroenterological Associates.PCGroup PAC ID 6305814716, 35 clinicians
Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

5000 Campuswood Dr
Suite 200
East Syracuse, NY 13057-1268
Phone (315) 234-6677

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4866
Phone (315) 452-3235

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
117355NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Aug 1, 2024 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince May 4, 2020 Accepting new patients
Syracuse Gastroenterological Associates.PC CurrentSince May 4, 2020 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Mar 1, 2021 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

739 Irving Ave
Ste 430
Syracuse, NY 13210

475 Irving Ave
Syracuse, NY 13210
Phone (315) 234-9679

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1013435494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PINE TREE DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "KRISTEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "117355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.